06-106466 r r.4 ,.
II
City of Federal Way Electrical Permit #: 06-106466-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: HOME FITNESS
Project Address: 35105 ENCHANTED PKWY S Suite G104 'a Number: :5295 0040
Project Description: Installation of L/Y for fire alarm system
`
Owner Applicant l Con,
KELLY ROGERS PACIFIC FIRE&SECURI INC. PACIFIC FI' . s SEC TY,IT C.
HOME FITNESS 828 POPLAR PL S PA ''. • 3PU
902 11Th ST SE SEATTLE WA 98144 828 P LAR PUPS
PUYALLUP WA 98372 SEATTLL 98144
Additional Pe it Inform
1pfixtures
Low Voltage Fire Alarm-Comma 00. "
‘\ 11
P IT E -IRES Sunday, July 1, 2007
. ued o Tu day,January 2, 2007 k
I ht ,=-abov- ,, r is'correct and that the construction on the above described property and
ccupandy'l' a s- will% accordance the I irules and regulations of the State of Washington 4
iiiit
- d the City of Federal Way.
Odwi.tilmalo
w per
gen : "AOAt2fiaiol Date: 7
r �•
THIS CARD IS TO REMAIN ON-SITE . N ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-106466-00-EL
Owner: KELLY ROGERS
Address: 35105 ENCHANTED PKWY S Suite G104
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
, ,... .,4
mi ,
CITY op / ; - A 6, ,,1 1 Federal Way6 _ 0 6
BEcEIVI D PERMIT
COMMUHI7YDEVELOPMENTSERVICEs SF MF CO ME EL PL DE EN FP
33325 8Ta AVENUE SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718 DEC
2 7 Zit' P P L I C A T I O N TD / /
453.835.4607•FAX 453.835-4609 U G
www.dtyoffederalway.com..
��R�wlP+L WAY •
The following is rb �,i p OtT an incomplete application will not be accepted. Please print legibly(in ink)or.type.
• PROPERTY INFORMATION •
SITE ADDRESS ."2-? 10 5 gyt-ciAnyrtiti. -Pcvrie SUITE/UNITY Cil I C)L
/ASSESSOR'S TAX/PARCEL# ? 2. ? .. Q- 0 0 LOT SIZE(s) 1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) •
(Attach separate page for Lengthy legal desatpKon)
■ PROJECT INFORMATION
TYPE or PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERINGIRE PREVENTION SYSTEM
PROJECT DESCRIPT1ION(Provide detailed description of work included on this permit only)
CJE .
Sii,LC t.e c-4--/"Cit-iit
d . )x m-'y,4 E s'r i ice, JW lu
r""' se -
PROJECT'NAME(Name of Business or Owner Last Name) ./ / HO 0,7 e `/4yI-sS
IN PEOPLE INFORMATION
PROPERTY NAME t PRIMARY PHONE
OWNER O vt/J �O Si ( ) -
MAILING ADDRI S ,STATE,ZIP E-MAIL ADDRESS • •
•
T CONTRACTOR COMPANY NW
3'�CS rt I AP CANT ME OFFICE PHONE
,`C hiecii--Sir ur
MAILING ADDRESS Y r @.ZIP �9 � ' I """"Poo NE
,$�c .poI c P ,e.lo S . Se_,o� /e, q's t-til ....; 1 -s55=�i (r)9
' WI 1.4 teEDE1.nL WILY UOINEas LIdENSE NUMBER EXPIRATION VATS , FAX NUMBER • '
° •-•°a•-SOS q Cil -CO - F;L, I 0-- 3/-0 r ( ) . -
COPY or card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
withal eppllest,oa �` / L ,�
•
APPLICANT COMPANY NAM r v 'APPLICANT NAME OFFICE PHONE.
( ) .
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( •) -
•
RELATIONSHIP TO PROJECT. FAX NUMBER •
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -PROJ
•
CONTACT tiC '�i 5 t✓/ )PHONET PRIMARY EMAILADbRE33
•
LENDER NAME Per RCW 19.27.095: ' • '
Lender information is required if project value exceeds$5,000
• MAILING ADDRESS CITY,STATE,ZIP PHONE
(
•
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE .
EXISTING ASSESSED/APPRAISED VALUE $ 'VALUE OF PROPOSED WORK $ ,r Q
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIR`E�D? ONES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICEPROVIDER 0 LAKEHAVEN . 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PRO.OSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 i)k COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING TOTAL PROPOSED SP TOTAL SF
•
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATE' ELLING PRICE $
• FIX1 ZJRES
Indicate number of each type of fixture to be installed or relocated - part . this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID 6 ESTIMATE MUST:. INCLUDED WITH APPLICATION)
• AIR HANDLING UNITS EVAPORATIV OOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS ' ' MISC(Describe)
BOILERS FIREP INSERTS HOODS(commercl4
COMPRESSORS FURN ES RANGES
DUCTS G ' e G SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rules
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
hapmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officer a L employees,upon the accuracy of the information supplied to the city as a part of
this application. t
NAME/TITL''�>> . '� L / ��./WAWA" 4L- fl DATE I �Y
RELATIONS I ' TO PROJEC J 0 Owner '. Agent Contractor 0 Archi ct 0 Othet
•
,2 3 le , a'
•
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED?. n YES o NO UP/SEPA/SU? •
o YES o NO
PLATTED LOT? • o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
•
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $1,17.00 $71.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 145.00 91.50
(Inspected with service) $45.50 U 201-400 amp 272.00 107.50 .
❑ Detached outbuilding,or garage ❑ 401 -600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601 -800 amp 410.00 173:50
0 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
0 401 -600 amp 198.50 99.00
601 -800 amp 254.00 136:00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272,00 Service or Feeders
. ❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
0 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$9I.50;Add'n circuits,$7.00/ea)
i
( ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service 1,000 amps or.greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
I MANUFACTURED HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiayMulti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
! • ❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
' 0 over 600 amps , 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ ii of Thermostats ❑ #of Signs •
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n'sign$25.00/ea)
Low Voltage ❑ Swimming pool/hot tub $107.50
' re Feet to be served by systems) I✓:Z (Includes additional circuit,if required)
're Alarm System 0 Yard Pole meter loops $71.50•
0 Security Alarm System • 0 Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
0 Automation Fee on all Permits $5.00
1.t 2500 ft2-$63.00;
Each add'n 2500 ft5-16,50)*Per WAC 296.46.910(5)p)(i&ii)
Bulletin#100-January 1,2006 Page 3 of 4 kV-Iandouts\Penmit Application